Glomerular Filtration Rate and Initiation of Dialysis

The proportion of patients with advanced chronic kidney disease (CKD) initiating dialysis at higher glomerular filtration rate (GFR) has increased over the past decade. Recent data suggest that it may be associated with increased mortality. The goal of this analysis was to compare survival outcomes...

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Bibliographic Details
Published in:Therapeutic apheresis and dialysis 2017-12, Vol.21 (6), p.606-610
Main Authors: Escoli, Rachele, Luz, Ivan, Santos, Paulo, Vila Lobos, Ana
Format: Article
Language:English
Subjects:
Charlson comorbidity index
Glomerular filtration rate
Hemodialysis
Initiation
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Summary:The proportion of patients with advanced chronic kidney disease (CKD) initiating dialysis at higher glomerular filtration rate (GFR) has increased over the past decade. Recent data suggest that it may be associated with increased mortality. The goal of this analysis was to compare survival outcomes in patients with early and late start dialysis. We performed a retrospective analysis of hemodialysis (HD) incident patients from 1 January 2010 to 30 September 2014. Patients were classified into two groups by estimated GFR at dialysis initiation (eGFR ≥10: early start and
ISSN:1744-9979
1744-9987
DOI:10.1111/1744-9987.12582